Individual
MICHAEL E. SCOVNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
236 MAIN ST, POULTNEY, VT 05764-1106
(802) 287-2269
Mailing address
236 MAIN ST, POULTNEY, VT 05764-1106
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042-0007746
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009244
—
VT
Enumeration date
11/14/2006
Last updated
07/09/2020
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